Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8570023 | Geriatric Nursing | 2018 | 9 Pages |
Abstract
Multimorbidity combined with geriatric syndromes in older adults with diabetes exacerbate their risks for poor post-discharge outcomes. The purpose of this study was to examine self-described hospital-to-home transition challenges encountered by older adults with a diagnosis of diabetes within the first 30 days following discharge. The qualitative responses for this paper emerged from a larger mixed methods study (n = 96) in which participants provided free responses specifying transition challenges during follow-up telephone interviews on the 7th day (n = 67) and 30th day (n = 55) post-discharge. Using inductive content analysis techniques four major themes emerged: a) “The daily stuff is difficult”; b) engineering care at home is complex; c) “life is very difficult”; and d) managing complex health problems is difficult. Findings suggest existing system-level metrics such as readmission rates fail to capture the complex and dynamic interplay of personal, family and social factors which complicate hospital-to-home transitions of older adults with pre-existing diabetes.
Related Topics
Health Sciences
Medicine and Dentistry
Geriatrics and Gerontology
Authors
Jacqueline B. PhD, ANP-BC, BC-ADM, CDE, Angeline PhD, RN, PHCNS-BC, FAAN, Denise PhD, LCSW,